Aspirin warning: Pills can cut heart attacks by 10% but raise risk of internal bleeding

By
Jenny Hope

Last updated at 8:01 AM on 10th January 2012

Doctors should stop giving aspirin to ward off heart attacks in patients without cardiac disease, claim scientists.

British researchers behind the biggest study of its kind warn the tablets can harm the ‘worried well’ by raising the risk of stomach bleeding.

At the same time, it has no effect on deaths from heart problems or cancer, they said.

Aspirin: The pills, normally taken for light pain relief, are widely taken by people for their positive effects on cardiovascular health

Aspirin: The pills, normally taken for light pain relief, are widely taken by people for their positive effects on cardiovascular health

But the scientists stress that patients with heart problems must keep taking aspirin as evidence that it prevents further attacks is indisputable.

Thousands of others who have not had a heart attack or stroke are prescribed low-dose aspirin in line with guidelines as they are feared to be at risk of cardiac attack.

In addition, healthy middle-aged people – the so-called worried well – regularly take aspirin bought over-the-counter at pharmacies in the hope it will benefit them.

Taking daily aspirin is known to cut the risk of repeat heart attacks and stroke by up to a third. But there has been uncertainty over whether it has the same benefit in patients who have never suffered an attack.

The latest study reviewed nine clinical trials involving more than 100,000 people without a history of cardiovascular disease. It found the risk of internal bleeding from aspirin cancels out any benefits to the heart.

Double edged sword: Aspirin can cut the risk of heart attacks by 10 per cent, but was found to raise the risk of dangerous internal bleeding by 30 per cent

Double edged sword: Aspirin can cut the risk of heart attacks by 10 per cent, but was found to raise the risk of dangerous internal bleeding by 30 per cent

Half of the patients took aspirin and half took an inactive substitute for an average of six years.

Taking aspirin daily, or every other day, cut the risk of heart attacks and strokes by 10 per cent, mainly due to a drop in non-fatal heart attacks. But there were no reductions in deaths from heart attacks or the number of strokes.

Doctors should consider aspirin treatment on a 'case-by-case basis' for low-risk patients

Doctors should consider aspirin treatment on a ‘case-by-case basis’ for low-risk patients

However, the benefit to the heart was almost entirely offset by a rise in the risk of internal bleeding affecting the stomach or brain.

Although one heart-related event was averted for every 120 people taking aspirin, one in 73 suffered bleeding during the same period.

Lead author Dr Rao Seshasai said people with a history of heart problems must not stop taking aspirin.

He said: ‘However, the benefits in those not known to have these conditions are far more modest than previously believed. In fact, aspirin may potentially result in considerable harm due to major bleeding.’

He said doctors should consider aspirin treatment on a ‘case-by-case basis’ for low-risk patients.

The study, published online in the Archives of Internal Medicine journal, was carried out by a team from Professor Kausik Ray’s group at St George’s, University of London.

It adds to growing evidence that giving aspirin where patients do not have symptoms of heart  disease is counter-productive. A report in the Drug and Therapeutics Bulletin in 2009 said the practice should be abandoned.

And a UK study also in 2009 found aspirin can double the risk of dangerous internal bleeding in those without a history of heart disease while having no effect on the rate of heart attacks or strokes.

Natasha Stewart, senior cardiac nurse at the British Heart Foundation, said: ‘People who don’t have diagnosed heart disease shouldn’t take aspirin as the risk of bleeding may outweigh the benefits.’

Nick Henderson, executive director of the Aspirin Foundation, said the study was ‘at odds with so much existing medical opinion’.

Here’s what other readers have said. Why not add your thoughts,
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Fruitflow ! Natural alternative to asprin. Clinically proven, EFSA approved !!! Please google Fruitflow for more information and where to buy. Ps Dsm/ Provexis … Pull your finger out !!!!!!! : )

in regard to fruitflow and the comments about eating tomatoes instead, having done some research you would need to eat huge quantities of tomatoes to get the same benefit as fruitflow . I and my family drink sirco and it really works…
don’t take my word for it do your own research

“the worried well” what a laugh! This is what they call you when you are taking responsibility for your health and they can’t diagnose because they just don’t know enough. Terms like this are disrespectful to the patient and therefore unprofessional

At all the Fruitflow/Sirco marketeers: 1) Expense. You can grow tomatoes from seed. Very easy. Also available cheaply from supermarkets. 2) Healthy Diet. I’d rather eat real natural tomato than a pill or a supplemented drink. 3) Processed. If your body cannot digest the gel around the seeds then processing it into a form which can be digested is good? 4) Conventional wisdom: Treating the symptom rather than the cause. Eat a proper diet, no processed rubbish, lose weight, exercise and you wouldn’t need blood thinning substances.

……after seeing a specialist my husband was told to start taking aspirin, my husband told him that his own GP had warned against taking aspirin as it could conflict with medication he was already on (which the specialist knew about), before taking the aspirin my husband checked back in with his own GP who was aghast that the specialist had prescribed aspirin and told him in no uncertain terms not to take aspirin……….good job we didn’t take the specialists word as gospel because who knows what would have happened…….!

I used to take the disperable Asprin, as advised by my doctor, but, as others have said I then started to suffer from stomach issues. So, then I was also on another set of tablets to stop that!!! I then did some researce and found “SIRCO” fruit drinks. I brought it from Amazon and was very impressed. I no longer take any tablets and just drink some of this “Fruitflow” drink everyday. It’s a Natural fruit drink, and it tasty and does exactly the same as the Asprin without any side effects. BRILLIANT. I carnt understand how this stuff is not in the general publics knowledge??

Sometimes think that the so-called ‘best’ medical advice is best ignored.

al from cornwall, how do you know its expensive? the Fruitflow extract is the bioactive extract equivalent of around 5 kilos of tomatoes in one go, so good luck with that. you can always eat tomatoes as well. if you like them

Fruitflow – a Patented extract from ripe tomatoes. Err…. so rather than eating tomatoes and getting the FULL benefits from them, anti-oxidants, flavanoids, minerals, vitamins, etc. You buy an expensive supplement that lacks the majority of the goodness of the tomato. It boggles the mind.
– Al beback, Cornwall, 10/1/2012 10:02
Al, you are missing THE point here,Fruitflow utilises the gel around the tomato pips and allows the body to absorb it in a way that would be impractical by eating fresh tomatoes alone.This gel is what helps maintain your blood platelets in a smooth state and thus keeps your cardiovascular system healthy.

i took them till i had a major bleed in my stomach the dr at a/e told me if i went to bed that night i wouldnt of wake up in the morning. i also takeFruitflow better to be safe then sorry

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